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Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines

Skull, Susan A., Andrews, Ross M., Byrnes, Graham, Kelly, H., Nolan, T. M., Brown, G. and Campbell, Donald A. (2007). Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines. Vaccine,25(28):5146-5154.

Document type: Journal Article
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IRMA ID 10619xPUB30
Title Missed opportunities to vaccinate a cohort of hospitalised elderly with pneumococcal and influenza vaccines
Author Skull, Susan A.
Andrews, Ross M.
Byrnes, Graham
Kelly, H.
Nolan, T. M.
Brown, G.
Campbell, Donald A.
Journal Name Vaccine
Publication Date 2007
Volume Number 25
Issue Number 28
ISSN 0264-410X   (check CDU catalogue  open catalogue search in new window)
Start Page 5146
End Page 5154
Total Pages 9
Place of Publication United Kingdom
Publisher Elsevier Ltd
Field of Research 0605 - Microbiology
0799 - Other Agricultural and Veterinary Sciences
1107 - Immunology
HERDC Category C1 - Journal Article (DEST)
Abstract This study examines missed opportunities for recommended influenza vaccine and 23-valent pneumococcal vaccine (23vPPV) among hospitalised elderly persons. 4772 inpatients aged ≥65 years (cases of pneumonia and frequency-matched randomly selected cohort subjects) participated from two large tertiary Australian hospitals. For subjects unvaccinated with influenza vaccine (past year), 1110/1115 (99.6%) had visited either a doctor (99.4%, mean 11.2 visits) or the same hospital (52.0%, mean 1.5 visits). For those unvaccinated with 23vPPV (past 5 years), 1809/1813 (99.8%) had visited either a doctor (99.7%, mean 11.2 visits) or the same hospital (51.5%, mean 1.5 times) in the past year; 71% had been admitted to the same hospital in the past 5 years (mean 3.4 times). 2.3% of all subjects had vaccination status recorded. No unvaccinated subject was vaccinated during admission, despite approximately 40% reporting acceptability of vaccination if offered. Previous hospitalisation was a risk factor for being unvaccinated. Barriers to implementation of current vaccination policy in the hospital setting require formal evaluation in Australia.
Keywords Influenza vaccines
Pneumococcal vaccines
Missed opportunities
DOI http://dx.doi.org/10.1016/j.vaccine.2007.04.082   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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